Saturday, December 31, 2011

The year gone by

I thank you Lord for the year gone by.
For helping me complete internship and leave CMC... FINALLY!!!
For joining bond and sticking it out though everyday I felt like running out screaming.
For mama and her trip to RJN.. like one bright ray of sunshine.
Dada's surgery and Vellore trip and everyone who made it possible.
For Shyla and how after all these years we still rock!!
For Sheen and Jaicy... Angels do live among us.

For Amos and all the birthday gifts! ;)
For Femi... The one thing I miss about college.
For Ranjan Bhaiya... the brother I always wanted.
For Bernice Di and Jonty... Vellore is now home.
For Martha... My very own bundle of joy.
For Anna... Mama and Dada's silver jubilee.. I wouldn't have been here without you... LITERALLY!!!
For things that worked out and those that didn't, I thank you Lord.
For the people I found and those I left behind, I thank you Lord.
For all the big events and small mercies, I thank you Lord.
I thank you Lord for the year gone by and all I ask is that for the year that is about to come, your presence will always go with me.

Monday, December 19, 2011

The God of all things

Lord, I thank you for everything.
Not only for the big things, and life's necessities, clothes, food, shelter.
But for the small things too...
Everyday mercies...
For the few minutes of extra sleep under a warm blanket on a cold winter morning.
For the hot coffee shared with friends.
For the flower from a friend as I come in to work.
For the off well-deserved.
For the phone call from loved ones just when you miss them the most.
For the long awaited parcel.
For the unexpected home made goodies.
For the still small voice that whispers thru your doubts...
... Lo I will be with you. Even to the end of time.

Sunday, November 20, 2011

My reading for the day

For after this manner I the old time the holy women also, who trusted in God, adorned themselves... even as Sarah... whose daughters ye are. 1 peter 3:5-6

What does it mean to be Sarah's daughter...

When you resist the temptation to react to circumstances and maintain a peaceful, meek and quiet spirit in times of frustration...
If you can stay calm in a storm, if you can praise God under pressure, if you can worship in the midst of critics and criticism...
If you can rebuke the fear that is knocking at the door of your heart, and tell that low self esteem that it cannot come in...
If you can stand there and push a tear from off the side of your face and smile in the middle of the rain....
.... then you are Sarah's daughter.

Friday, November 11, 2011

Thank God

Every morning and evening, as much as i can manage, I grab my cycle and head out. In any random direction. To any random distance. Just to get away. Where I don't have to think of my patients... My boss... The hospital... My staff.... And shedding the extra kilos don't hurt either!!
And the view is breathtaking... Even in this dry, barren land. Sometimes I just go 'WOW!!'...
Past the different villages... Three men on a bike... A bullock cart... I cycle...
Past the view of the rising sun from the top of the flyover... I keep going...
Past the villagers returning home after work... Past the cows bathing... I cycle...
Past the sunset throwing the sky into hues of orange, red and purple... I go...
No one else... Nothing else.... Just me and my cycle...
With the sound of music... The smells of the city far away... The feel of my beating heart and complaining muscles.... The weight of the day's frustrations getting lighter with each pedal.... I cycle...
And I thank God...
I thank God for the Road....




Monday, November 7, 2011

The Christian Fellowship Hospital, Rajnandgaon







Here are some shots of the hospital and surrounding areas. Pictures of the farm will come up later.

Saturday, November 5, 2011

'House' Doctor

Most experiences here are some that might never be repeated and that I will never forget. 
Its was one of those days when I happened to be the only doctor on campus owing to my boss being out. One of our regular (private) patients came with complaints of his father having abdominal distension and breathing difficulty. The difference in this case being he did not bring the patient to me, he wanted me to go along with him to the patient.
Owing to his very worrying description, and owing to the fact that my boss has done the same thing a number of times.... I went.... Alone... At 9 in the night... With a guy I didn't know... To a place I had no clue about... And without my cell!!! (I realized all these various facts when already in the car!) 
Thankfully, all went off well... The patient turned out to be having a mild case of gastritis... I administered all the necessary drugs... I was dropped safely home.... AND IN ONE PIECE!!
All's well that ends well.

Wednesday, November 2, 2011

Walking with an epi

Since I have been sharing my success stories, let me share some failures as well.... Especially one story that I'll never forget...
One lady in labor came to the hospital... As is the case with most cases that come from the villages, she had never been to a hospital before and did not even have any concept of antenatal care. This was her second child, the first being a home delivery. She came purely because all attempts in the village had failed. The attempts being... 100 vaginal examinations and manipulations, labour augmenting drugs used indiscreetly, hot water and oil fomentation to 'smoothen' the birth canal and god knows what else.
Thus, when she came... She was 6 days pains and leaking with a swollen vulva and fetal heart non recordable...  I told them to go elsewhere for an emergency cesarean. (My boss was not around at the time which meant that post delivery I would have to tend to the mother lying open in the operating table and the baby that was just born.) But they begged and pleaded to try vaginally as this was the only hospital they knew of. So I did.
Pitocin... Episiotomy.... Forceps.... But the baby would just not deliver....
Finally... I gave up....
Asked them to take elsewhere...
And she went...
With a cut vagina.... And a baby still inside... She walked out....


PS - The staff told me that earlier they used to resort to destructive procedures like craniotomy (cutting a hole in the fetal skull) to get the fetus out as most babies died in utero much before reaching the hospital.
PPS- I have no news of that mother. I pray both of them lived.

Thursday, September 8, 2011

Victory or defeat?

"Madam... Labour patient...."
I came to see a multi only 6 months into pregnancy in labour. Clinically anemic. Owing to lack of nursery care and no facilities to transfuse blood I immediately refer the patient.
The relatives then decide to go to the bigwigs.
Soon enough, I receive a letter from one of the hospital owners saying I am supposed to admit the patient and do whatever necessary. The point being... DO WHAT?!!! HOW?!!! WITH WHAT?!!! WHERE?!!!! WITH WHO?!!!!
The patient meanwhile, in the midst of all this drama, decided to pop a baby in the auto itself. I went running to see one fetus out with the cord dangling. With nil if not negative sterility, I delivered the baby and cut the cord.
"Shift the patient to labour room...."
There I see that the Uterus has still not contracted whereas the cervix has completely shut down. By this time, honestly, I had zoomed into an alternate universe.....
We have no fast acting cervical dilators...
So what do I do...?
I USE MY BARE HANDS!!!
With one finger at a time and then one hand I reach into her uterus and catch hold of the second one and pull it out...
Then when I reach in for the placenta.... Lo and behold!!!! A THIRD ONE!!!
With the cervix clamping down on one hand and the other hand prying it open I bring out the third one with one hand while simultaneously reaching in and pulling out the placenta before the uterus closes on me forever....
She is still bleeding...
Uterine massage... Pitocin...
Still bleeding...
More massage.... More pitocin...
And some more and some more....
Till she finally stops....

For the babies however I can offer nothing....
Suction... Oxygen.... Heat...
Till they finally succumb...

Two hours later, I hand over to the relatives, three dead baby boys and one living mother.

I don't know whether to feel happy or sad....

Monday, September 5, 2011

August 2011

Last month was very eventful...
Finally bought ASV for the hospital and saved 2 lives in the process.
Started the new OPD block and regularized timings.
Started the first Central Venous Line.
Began the process of computerization of the hospital and brought out the first printed discharge summary(yes, it is a big deal!!!).
Had my first block of free time when I was NOT on call. Felt awesome!!!
Started studying for PG... not so awesome...!
Made my first English speaking friends. :)

For all this and the rest that I can't remember.... Thank you Lord!

Friday, July 22, 2011

Fighting death

Yesterday a young boy came. A 20 year old with sickle cell disease post splenectomy now in intense pain. He was one of our regulars who came for pain relief and hydration and then got discharged. The only son of a mother with father living in another village.
Tonight at 6 pm, I got a call from the ward. 'Madam ji, ek baar dekh lo. Uska saans theek se nahi a raha'. (Literal translation - Madam ji, please come and see once. His breathing isn't coming properly) So I went to find him breathing hard and fast. Lungs with harsh breath sounds. My diagnosis was a massive pulmonary embolism. So I started him on anti coagulants, nebulizations, steroids et al.... And yet his oxygen saturation kept dropping. 70... 50... 40... We started CPR. His last words were, 'Call my father'.
We don't have any ventilators. So I intubated and bagged.
Saturation yet dropping... 30... Nil... And I kept bagging...
Pulse went from feeble to non recordable.... Still I kept bagging....
Till his heart stopped beating.....
Till his pupils fixed and dilated....
Till my boss came and declared him dead....
With his mother's cries filling my ears....
I bagged...
Hoping... Praying....

He passed away in front of my eyes.....

Saturday, July 16, 2011

Perfect timing

Here in North India, timing is everything. Births, deaths, weddings, business transactions, sale and purchase all are deemed auspicious according to when they occur. Thus sale and purchases, weddings etc are conducted after the pundit announces the date and the time. But imagine modifying the time of delivery!!!
I had heard some horror stories.... 
About the woman who went into labor during an 'evil' time. The midwife hung her upside down so the baby wouldn't be born. 
But then I encountered it first hand. A lady who insisted on having her baby on the 15th of november, 9:11 am. And left the how to us. The baby had to come out by then, by hook or by crook. So we posted her for caesarean. Indication : Maternal request.
8:30 am : The lady was wheeled into theatre.
8:45 am : Anaesthesia
9:00 am : We started
9: 05 am : We entered the abdomen
And then we waited....... 
9:06
9:07
9:08
9:09
9:10
9:11 Baby out
So everyone lived happily ever after....

Tuesday, July 5, 2011

Bad times

Yesterday a lady came in. Not someone I saw. But the daughter in law of a very prominent family. She was the second of three deliveries in a row. She arrived just when I was stitching up the first one. As a result, I saw her one hour after she arrived.
One look and I knew we were in trouble.Primi with preterm labour. Fetal heart rate abnormalities. I told the relatives to take her to a place with better facilities. But by the time I had finished wheeling her into labour room and examining her they had made up their mind to stay. It was 1 pm.
I told them we will try our best. Started her on IV fluids. The heart rate picked up. I told the relatives we might have to operate which they were very much against. I told my boss. It was 2 pm.
Heart went wonky again. Decided for Caesar and called my boss. He came and we started. 3:30 pm.
Baby out 4:30 pm.
Cried at birth. But some labored breathing. Referred the baby to higher center. 6:00 pm.
Today the family came in. Their friends and followers. The baby is on ventilator. 11 am.
The baby died. 5 pm.

They brought the body. The mother was told. The distraught father took the body (it was a boy) away to be cremated. The rest stood outside the hospital. Anger. Grief. Shock. All searching for an outlet.
Inside I sat, hiding, with the same feelings. Minus the anger. Plus a lot of fear.
I was the one who saw her. Was there delay? What did I do wrong? Did I do wrong? What should I have done?
Outside the mob stood. Murmuring. Complaining. Bottled rage. Naked anger.

Friday, July 1, 2011

Labouring on....

Let me tell you the story of Miss S. My first private patient and what a story at that. A primi who all through her pregnancy demanded to see only me over and above any senior doctor around. :) That was not so much of an issue. But then came her delivery....
Three days past her date, there was still no sign of the baby. So we decided to induce the process with misoprostol.
10 am First dose - no sign still.
4   pm Second dose... All is well
6   pm This perfect angel went raving mad. She sat up, rolled around, pulled out all her lines, got up and started walking... where?... home, apparently. Two staff, one doctor, one relative and one burly watchman couldn't hold her down. In return, I received a well aimed kick to my lower abdomen and my nurse a flying back hand. Finally we called the husband who begged, pleaded, threatened and then literally manhandled her back to labour room. Where she stubbornly sat and then lay on the ground. All the while the hapless doctor (read me) was trying to monitor and maintain fetal heart.
8 pm Finally, madam S did get on the bed and wonders of wonders, the baby was fine. Just a lil higher than before.
9 pm A beautiful big baby girl.

Thursday, June 23, 2011

Family traditions

A new phenomena that I'm experiencing in a mission hospital is family medicine. While being in a tertiary setup, its very rare to see the same patients twice, here, everyone is connected. We are still treating the same patients we were treating 50 years back plus their children, grandchildren, aunts, uncles, nieces, nephews so on and so forth. The loyalty that this incurs is beautiful as well as dangerous. The danger arising when the problem is too big for us to handle.
Even before we explain the prognosis and risks associated with treatment in a small setup, we know their answer. Villagers and townsfolk.... Educated and uneducated...
Like the man with a huge abcess in his right hand who we wanted to send for surgery elsewhere owing the lack of an orthopedician here but who refused to go. So we operated on him with an open orthopedic textbook before us.
Or the woman from a well to do family with a breech baby who insisted on having her delivery here. The baby was so stuck that we had to push from below so we could deliver by Caesar.
Or the lady with twins that walked 200 kms from her village only to reach here at the dead of night when we had just closed the theater for fumigation. On examining her, fetal distress needing emergency surgery. So we sat up monitoring her all night till theater opened the next morning.
Then the ones with not so happy endings...
The young man with cardiac disease who insisted on staying here and died that very night.
The child with encephalitis who died because we didn't have a ventilator.

And yet they come... and keep coming... Sometimes we treat... sometimes all we can do is pray.... 

Monday, June 20, 2011

Baarish and babies....

Come June and there are two new phenomenas in my 'happening' life here.....
The monsoons...
While bringing much much MUCH needed respite from the blazing summer sun, it also means a whole new spectrum of water borne diseases and increase in general morbidity balanced out by the number of people who can't get here or get here late because of the rain. As a girl, it aggravates an already existing problem... CREEPY CRAWLIES!!!  Honestly i really don't mind the increase in snakes and scorpions, all it means is that i carry a torch wherever i go and look down at all times. But what takes the life out of me are the other creatures... insects... esp the flying ones and there's just no escaping them! Especially if you're like me and have a morbid fear that they'll fly right into you or fall on you while sleeping or even worse crawl into one or all of your orifices. Thankfully I have the first floor so i am relatively safer from all those inhabitants of the surface.

The babies....
A much more pleasanter event is the sudden rise of deliveries this season prompting the new coined hospital phrase of 'bacchhon ki barsaat' (monsson of children). This is because marriages are considered auspicious if conducted before or after diwali which happens in october thus all the fruits of their labo(u)r being seen at around this time. However, in this age of technology we still remain untouched. All monitoring here is done manually as opposed to fetal monitors elsewhere. Usually obstetrics, in small mission hospital like ours, are nurse led and the doctor only turns up for extracting the baby. Woe be to you if the staff are either not competent enough or there just aren't enough, like here, on both counts. As a result, the doctor, read me, sits by the side of the mother all though labour monitoring her parameters and her baby's by herself which on an average is 8 hours for a primi and 4 for a multi. Even worse if we plan to intervene and hasten the process, that is like my boss puts it, 'sitting on a bomb'. For here there is no waiting. The concept being, 'If some fetal heart rate abnormality is picked up in our intermittent monitoring, we have most likely missed much more'. The solution being, 'When in doubt, OPERATE'!! 
And so i wait..... 

PS - If you're reading this, please comment. So i know you're getting it!!! Thanks!!! :*

Thursday, June 16, 2011

My boss

For those of you thinkin this is going to be one of those bitch-about-the-boss sessions, sorry you're going to be sorely disappointed.
For I am one of those privileged few who has a boss you can't help but adore.
Last night at 11 pm a woman in labour came in who had to be taken in for an emergency C section. My fingers were itching to do it but who will let a rookie operate in the middle of the night when all you want to do is sleep after a long tiring day. He quietly went to the assistant's place and handed me the scalpel. Half asleep but overjoyed I started. In the middle of the night, under infinite patience, I unlearnt all my wrong techniques and relearnt all the right ones. With a characteristic soft mumble he coaxed fumbling fingers to higher skill and opened a struggling mind to a superior art. And yet when my sleep deprived, struggling to concentrate mind and un-cooperative fingers made the same mistakes again and again, instead of condescension there was only friendly jest and an occasional sarcastic chuckle. Then suddenly...out of the blue... A HEAD BUTT!!!! I froze midway ready to be thrown out of theater just to be reminded that my undone mask was about to fall on the open abdomen. If the needle refused to pierce the stubborn tissue, instead of doing it himself, he supported my hands in pushing it through. After bearing (with) me patiently till the end, he helped me finishing up and sent me home before him.
And he sends his angels before me......

Wednesday, June 15, 2011

Something about 30

I don't what is it about the current age that diseases just seem to be getting younger and younger. A phenomena that I thought was affecting only the west. But no... Whether its the man who came with sudden inability to speak and CT revealed cancer occupying one half of his brain. Or the guy with acidity who turned out to be having a heart attack.
Definitely the last days....

Saturday, June 11, 2011

Bigger problems....

Sunday, June the 11th, 3:30 am...
I was called when a patient with angina arrested in the ward. Standing over his lifeless body I realized I had bigger mountains to climb.
This brings me to my next dilemna. How do I ensure orders are carried out? Without having to permanently reside in the ward ? Or to antagonize the staff under me but above me in age and experience ?
Missing a dose of magsulf for the patient with ecclamptic seizures and forgetting to administer aspirin for a patient having a heart attack.
Fortunately the woman lived, the man died....

Once upon a time... Part 2

In case you haven't realized yet, the lady mentioned above was a case of post partum ecclampsia following a home delivery. We treated her with Magsulf and she goes home tomorrow. But the story doesn't end there.
The 'tel gaadi' aka govt oil truck went back to the village with the news that sheela bai has been cured. So they decided to send another dying patient to our doors.
Uday Lal presented later that day with a one month history of jaundice and black stools. Honestly when they brought him in, I thought it was a corpse. 'White as a sheet' was literally what he looked like. All my medical sense told me to refer him. The relatives told me, "You are God. Only you can heal him. If you can't then we will take him back home".
Investigations revealed a hemoglobin of two. 2?!!! At first I thought the lab guy was pulling my leg. After checking and rechecking, my fears were confirmed. He had a hemoglobin of 2 and he was still alive and I had the job of keeping him that way.
With all of the advancements of India shining, there is a downside. It becomes more and more difficult for mission hospitals to function. To standardize treatment, there is a law passed that allows a blood bank only with the presence of an MD pathologist or a radiodiagnosis department only with an MD radiologist.
Thus the poor relatives go to the government hospital and wait an entire day to get two pints of blood even after donating and paying. Meanwhile I start treatment for Iron deficiency anemia which is the most common in the region. The blood finally comes and we transfuse him. His hemoglobin comes up to 4 and he finally sits up. They don't have money for any more blood. So I give him some more parenteral iron and refer him to a bigger place for further evaluation, knowing full well that they will go back home and the referral letter I give will come back to me in a few months. But all I can do now is pray.
However tonight there is rejoicing in Bagrekash...

Once upon a time...

Once upon a time... In a faraway land... Some call it the 'boondocks' of India... There lived the Gonds. About 100 -200 kms from CFH, Raj nandgaon, nestled in the Maikal hills this ancient tribe lived their lives roaming naked under the sun, farming and gathering, hunting with bow and arrow just as their ancestors before them. Sunup, Sundown, Autumn, winter, summer, monsoon, sickness, health, life and death... The only contact with the outside world is the government trucks that bring them oil and the children that visit the nearby town and talk of the light that glows inside huts, the river that flows out of metal, talking through a box and the like....
Medically, they believe in the healing powers of the sun, fire, the elements and the more sinister arts of the local magician. Even the barber's wife is a advancement for them.
Then on rare occasions, people who look like them but dont believe in karma and speak about a strange god who forgives sins. They are sent from a very big village with a special house where more magicians practice, even a woman!! [;)] They speak about clothes, food, clean water, mosquitos and disease... Now why does a woman need help making babies?!!! She can do it all by herself!!! If she lives, praise God, otherwise it was written in her fate....
Now Sheela Bai jus gave birth two days ago. Tonight the spirits possessed her and wouldnt let go. The priest will not touch the evil woman so the 'white babu' was called. He told her husband to take her to his village for the woman magician to see. Thankfully today the tel gaadi will come so she can go on that. They reached a white big hut where the woman magician saw her and pricked her with many needles and gave her magic fluid. The gods came down and the spirits left. She will live and so will the child....

Wednesday, June 8, 2011

LNMs and beyond....

Another very interesting fact about this place - the lack/ absence of trained personnel both clinical and paraclinical. Take for example our theatre assistant... NS... A cobbler by profession who used to sit at the gates of the hospital taken in by my senior and trained as the jack of all trades. Driver, chowkidhar, lab technician, nurse, pharmacist, compounder, doctor.... wait a minute.... DOCTOR?!!!! Yup. He became so empowered by his new found abilities that he decided to get a local practitioner/quack degree (secretly of course) and now has a flourishing practice (not so much of a secret). But they say a little knowledge is a dangerous thing... which brings us to my dilemna...
Wednesday, June 8, 1:00pm... Unbooked third time pregnant woman in labour with two previous home deliveries... On examination - Breech with fetal bradycardia.... Treatment plan - Emergency ceasarean.... Operating surgeon - Me!!! At which point I have to seat myself to take few deep breaths while weighing the pros and cons... Pros - The only chance for the baby to live, the cheapest and closest, the other option being the govt hospital where she's as good as dead... Cons - Me never having delivered a breech via caesar, limited facilities for neonatal resuscitation, absence of a more experienced surgeon around (my senior consultant is currently on leave), and did i mention... ME!!!
With the scales tipping heavily in the favour of the baby's last hope for survival I decided to operate.
Thats when NS announced, "I'm not doing this operation. I can't take this risk, I'm not going to be responsible." And so he proceeds to dissuade me and the relatives for treatment here. But as luck would have it the relatives want to take a chance on me!! :) So I proceed to prepare the theatre... As soon as I'm out of earshot.... "She is just a girl. She doesn't know anything. I'm telling you take your bai to the govt hospital...."
I return to find the patient and relatives gone.... 

Monday, June 6, 2011

ASV Rs. 400 per vial

Tuesday, June 7, 10:30 pm
"Madam ji... A child... Snake bite.... Jaldi ao...." And so i picked up my stethoscope and ran to find a 10 yr old girl still covered in the mud she was playing in and a crude tourniquet applied to her right leg where the local baba tried to stem the flow of the poison... No pulse... Pupils fixed and dilated... Extremities in rigor mortis... Time of death hours before her mother found her in the fields...  Before the villagers ran to arrange for a tempo to bring the girl to the nearest hospital.... Minutes after the deadly cobra stung her foot and left and she in all her innocent ignorance thought it to be an insect on the ground... And yet the father held her lifeless body and travelled 4 hours to bring her to madam ji.... Thats me btw... Who even if had seen her alive would have been helpless to save her owing to the non availabilty of anti snake venom in private hospitals, thanks to exorbitant costs and short shelf life...
Then begins the journey home... To return a daughter's body to the hands of a mother who has already accepted the fate of her child as the will of Naag ...

Sunday, June 5, 2011

New beginnings...

Hello world!!
Six months after my last blog and so much has happened...
I finished my sojourn at CMC...finally!!!
I joined Christian Fellowship Hospital, Rajnandgaon and for the next two years my life is going to be all about my adventures as a primary health care provider to the forgotten with a behind-the-scenes look at being a young unmarried girl in rural north India....
So... Happy reading!!!

http://maps.google.co.in/maps?q=21.095872,81.008849&num=1&sll=21.09435,81.010995&sspn=0.022622,0.038581&hl=en&ie=UTF8&ll=21.09435,81.010995&spn=0.022622,0.038581&z=15

Tuesday, January 18, 2011

History is in the making

Its been a bad day, you've been looking back
And all you can see is everything you wish you could take back
All your mistakes, a world of regrets
All of those moments you would rather forget
I know it's hard to believe
Let me refresh your memory

Yesterday is history
And history is miles away
So leave it all behind you
Let it always remind you of the day
The day that love made history

You know you can't stay right where you fell
The hardest part is forgiving yourself
But let's take a walk into today
And don't let your past get in the way


Matthew West

Sunday, January 2, 2011

I'm blessed

Do you know how blessed you are...?!!!
Do you know all the things that God brought you through.... and all the things that the enemy had planned for you.... what could've happened.... what other people dint even make it through....?!!!
Having such a long holiday at home....
Having Mama for study hols....
Going home for holidays...
Shyla... The true Singh... My BFF!!!
The rajdhani trip...
Awesome times in Bangalore...
The distraction that was B......
5 day school....
Becoming a doctor....
The paycheck....
Joining Chad in the beginning....
The room in LIQ... Broadband....
Subin's wedding and the road trip....
Surviving all the postings.... The friends i made.... The lessons i learnt....
Martha's accident....
Surgery leave :)
Amazing fosters...
Christmas and new year.....
All the new friends.....
Nitha.... Blessed to have such a fun hot babe around.... The hot clothes help too....
Shahul... His car.... Insight...
Sandeep.... Partho....
All the old ones that i rediscovered....
Mohit.... Darling....
Jacob.... Beautiful in and out
Amos.... No words.... Jus makes me feel lucky....
Femi.... My personal angel.... No other words to describe her... Or enough to do so....
Diya... Deepthi.... Ann.... Subin.... Just a phone call away
My one in a kind family....
Dada..... His daughters are his weakness...
Mama.... My source of strength....
Martha.... My reason to live....
Anna.... My baby....
Pepperlunu!!! :) :)

Life.... Health.... Clothes... Food.... Entertainment.... Work.... Sleep.....
Love and happiness... All mine for the picking.... All i do is ask and receive....

So tell me.... How can i not praise him.....